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目的:探讨肺炎型哮喘的发病原因、临床特点和治疗方法,提高认识,减少抗生素的不合理应用。方法:将2007-06/2008-12的32例肺炎型哮喘患儿的临床资料进行回顾性分析总结。结果:长时间发作性咳嗽,夜间及清晨好发,运动后加重;一般情况好,临床无感染征象及中毒症状;44%有家族过敏史,34%有家族哮喘史,38%有个人过敏史;发作时32例肺部均听到中小水泡音,其中18例有哮鸣音;对抗生素治疗无效对糖皮质激素及支气管扩张有效。结论:应该提高对肺炎型哮喘的认识,及时明确诊断规范治疗。
Objective: To investigate the pathogenesis, clinical features and treatment of pneumonia-type asthma, raise awareness and reduce the irrational use of antibiotics. Methods: The clinical data of 32 children with pneumonia from 2007-06 / 2008-12 were retrospectively analyzed. Results: Long-term episodes of cough, good at night and early morning, aggravated after exercise; generally good, with no clinical signs of infection and signs of poisoning; 44% had family history of allergy, 34% had family history of asthma, 38% had personal allergies ; Attack in the lungs were heard in 32 cases of small and medium blisters sound, of which 18 cases of wheezing; on the antibiotic treatment of glucocorticoid and bronchiectasis effective. Conclusion: It is necessary to raise awareness of pneumonia-type asthma and promptly confirm the diagnosis and treatment.